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20122315 shelley318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z7RB08 WISCONSIN MOTOR VEHICLE CRASH REPORT Secondary CrashAmendedCrash Type DT4000 (STANDARD CRASH)Reportable TagsSchool Bus Related NOActive School ZoneGovernment Property Reporting ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency Total Killed 00 Total Injured 00 Total Units 01 Time Notified 03:42 PM Date Notified 12/23/2020 Time Arrived 04:11 PM Date Arrived 12/23/2020 Crash Time 03:42 PM Crash Date 12/23/2020 Investigating Officer/Deputy DEPUTY MATHIAS HALBUR Agency Crash Number 20122315 Primary Crash Document #Document Number Override 6VL0Z7RB08Additional InformationNONE Photos By Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON DECEMBER 23RD, 2020, I DEPUTY MATHIAS HALBUR WAS ON DUTY FOR THE SAWYER COUNTY SHERIFF'S OFFICE. I WAS REQUESTED BY DISPATCH TO RESPOND TO THE INTERSECTION OF HIGHWAYS 27 AND 70 BY DJ'S MART IN STONE LAKE REFERENCE A VEHICLE IN THE DITCH ON THE EAST SIDE OF THE ROAD. THE CALLER WAS NOT INVOLVED IN THE INCIDENT BUT DID ADVISE THAT THERE WERE PEOPLE GETTING OUT OF THE VEHICLE THAT DID NOT APPEAR INJURED. I ARRIVED IN THE AREA AND ATTEMPTED TO LOCATE THE VEHICLE, BUT I DID NOT SEE ANY VEHICLES IN THE DITCH. I DROVE INTO THE DJ'S MART PARKING LOT AND OBSERVED A BLUE CHEVROLET MALBU WITH WI PLATES OF THE MALIBU HAD DAMAGE TO THE BUMPER AND THE DRIVER'S SIDE HEADLIGHT. I ESTIMATED THE DAMAGE TO BE VALUED AT MORE THAN $1,000. I SPOKE WITH THE DRIVER OF THE VEHICLE, - DOB: 10/7/ AND THE PASSENGER, - DOB: 9/21/ BOTH SAID THEY WERE NOT INJURED AND WERE REMOVED FROM THE DITCH BY A PASSERBY. THE VEHICLE WAS DRIVABLE, BUT WITHOUT TWO FUNCTIONING HEADLIGHTS, AND A SEVERE SNOWSTORM MAKING VISIBILITY AND ROAD CONDITIONS POOR, THEY WERE WAITING FOR A FAMILY MEMBER WITH TWO FUNCTIONING HEADLIGHTS TO LEAD THEM BACK TO THEIR RESIDENCE. TOLD ME THAT HE WAS GOING NORTHBOUND ON STATE HIGHWAY 27 AND DUE TO THE ROAD CONDITIONS, LOST TRACTION WHICH CONTRIBUTED TO THE VEHICLE GOING IN THE DITCH. TOLD ME THAT THE VEHICLE WENT INTO THE DITCH FACING NORTH AND CAME TO REST FACING WESTBOUND, TOWARDS DJ'S MART. FATHER ARRIVED ON SCENE IN A VEHICLE WITH TWO FUNCTIONING HEADLIGHTS. Crash Time 03:42 PM Crash Date 12/23/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z7RB08 WISCONSIN MOTOR VEHICLE CRASH REPORT I PHOTOGRAPHED THE DAMAGE TO THE VEHICLE. THESE PHOTO WILL BE ATTACHED TO THE SPILLMAN CASE FILE. I INFORMED THAT I WOULD FILE A REPORT FOR THIS, AS WELL AS A CRASH REPORT THAT GOES TO THE STATE OF WISCONSIN. I WROTE DOWN THE AGENCY CASE NUMBER AS WELL AS MY NAME AND BADGE NUMBER AND PROVIDED THE INFORMATION TO I CLEARED FROM THE SCENE SHORTLY AFTER. A CRASH REPORT WILL BE COMPLETED AND ATTACHE Structure Type NO STRUCTURE Y Coordinate 5088744 X Coordinate 150534.875 Longitude -91.502246639 Latitude 45.863484504 ON STH27 NB 146 FT N OF STH70 WB IN THE TOWN OF SAND LAKE IN SAWYER COUNTY Location Special StudyAccess Control NO CONTROL Tribal Land Crash Classification - Jurisdiction NO SPECIAL JURISDICTION Crash Classification - Location PUBLIC PROPERTY Relation To Trafficway TRAFFICWAY - NOT ON ROAD Animal Type Weather Condition(s) CLOUDY, SNOW, SEVERE WINDS Environment Factor(s) WEATHER CONDITIONS, VISUAL OBSTRUCTION (S), GLARE Roadway Factor(s) ROAD SURFACE CONDITION (WET, ICY, SNOW, SLUSH, ETC) Road Surface Condition(s) WET, SNOW, SLUSH, ICE Light Condition DAYLIGHT Manner of Collision 00 - NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location SHOULDER RIGHT First Harmful Event DITCH Crash Scene Intersection Type T-INTERSECTION Junction Location INTERSECTION-RELATED Within Interchange Area NO Truck Bus or HazMat NO Road Grade LEVEL Road Curvature CURVE RIGHT Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control STOP SIGN Traffic Way TWO-WAY, NOT DIVIDED Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With DITCH Total Lanes 2 Speed Limit 55 Pre CrashTire Mark Direction Of Travel WESTBOUND Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 2 Operating As EndorsementsVehicle Type PASSENGER CAR01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITInitial Contact Point 11 - LEFT FRONT CORNER Bus UseBody Style 4D - 4DR Color BLU - BLUE Model MALIBU Year 2009 Make CHEVROLET Vehicle Identification Number 48300101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle Crash Time 03:42 PM Crash Date 12/23/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z7RB08 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address RADISSON, WI 54867 , US Owner Name 0101Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing NEGOTIATING CURVE Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED Extent Of Damage FUNCTIONAL DAMAGE Vehicle Damage 11 - LEFT FRONT CORNER, 12 - FRONT VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event RUN OFF ROADWAY RIGHT02 Event DITCH03 Event 04Distracted By Injury Distracted By Source NOT APPLICABLE (NOT DISTRACTED) Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00101 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 07 - LEFT Row 01 - FRONT ROW Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address RADISSON, WI 54867 , US Race WHITE Date of Birth 10/07/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 03:42 PM Crash Date 12/23/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z7RB08 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00101Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO To/From SchoolAction Other Action Prior Action LocationStriking Unit # Distracted By Action NOT DISTRACTED UNITNon Motorist INDIVIDUALDistracted By Injury Distracted By Action Distracted By Source Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00201 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 09 - RIGHT Row 01 - FRONT ROW Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License NumberAddress RADISSON, WI 54867 , US Race HISPANIC Date of Birth 09/21/ Sex FEMALE Citations Issued 0 Passenger ITSafety Equipment Individual UNINDIVIDUALCrash Time 03:42 PM Crash Date 12/23/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z7RB08 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00201Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO To/From SchoolAction Other Action Prior Action LocationStriking Unit #UNITNon Motorist INDIVIDUALCrash Time 03:42 PM Crash Date 12/23/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.